Psychological factors in Nepali former commercial sex workers with HIV
Psychological factors in Nepali former commercial sex workers with HIV
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DOI：
10.1111/j.1547-5069.2003.00053.x
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发表时间：
2003-01-01
影响因子：
3.4
通讯作者：
Mahat, G
中科院分区：
文献类型：
--
作者：
Eller, LS;Mahat, G
目的：研究以前是商业性工作者（CSWs）的hiv阳性尼泊尔妇女的感知压力、应对方式以及焦虑和抑郁症状。设计：描述性、相关性研究，从尼泊尔的一个非政府组织（NGO）招募了98名携带艾滋病毒的尼泊尔妇女作为样本。方法：采用社会人口学问卷、压力感知量表（PSS）、应对方式问卷（WOC）、美国流行病学研究中心抑郁量表（CES-D）和SCL-90焦虑量表（SCL-90）。分析方法包括描述性统计和层次回归分析。发现：感知压力水平与观察到的年龄相仿的健康女性人群相似。主要的应对方式为问题关注型，使用最多的是寻求社会支持策略。用整个CES-D量表测量的抑郁率为3%，但在躯体亚量表上是18%。22%的抑郁差异是由感知到的压力和逃避逃避的应对策略相结合预测的。24%的焦虑差异是通过感知压力和三种应对策略的结合来预测的：解决问题、承担责任和保持距离。结论：该样本的心理症状患病率较低。在非西方人群中，躯体症状可能比情感症状更相关，是抑郁症的最佳指标。未来的研究需要检验文化相关的评价、应对方式和心理症状。对心理因素的了解可用于为无法获得艾滋病毒疾病治疗的这一人群制定干预措施。
Purpose: To examine perceived stress, coping style, and symptoms of anxiety and depression in HIV-positive Nepali women who were formerly commercial sex workers (CSWs).Design: Descriptive, correlational study with a convenience sample of 98 Nepali women with HIV recruited from a nongovernmental organization (NGO) in Nepal.Methods: Investigator-administered questionnaires included a sociodemographic questionnaire, the Perceived Stress Scale (PSS), the Ways of Coping Questionnaire (WOC), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Symptoms Checklist-90 (SCL-90) Anxiety Subscale. Analytical methods included descriptive statistics and hierarchical regression analysis.Findings: The level of perceived stress was similar to that observed in a healthy female population of similar age. The primary coping style was problem-focused, with the strategy of seeking social support used most. Depression measured with the entire CES-D was 3% but is was 18% on the somatic subscale. Twenty-two percent of the variance in depression was predicted by the combination of perceived stress and the coping strategy of escape avoidance. Twenty-four percent of the variance in anxiety was predicted by the combination of perceived stress and three coping strategies: problem solving, accepting responsibility, and distancing.Conclusions: This sample had a low prevalence of psychological symptoms. Somatic symptoms, which may be more relevant than affective symptoms in non-Western populations, were the best indicator of depression. Future studies are needed to examine culturally relevant appraisals, coping style, and psychological symptoms. Knowledge of psychological factors can be used to develop interventions for this population that has no access to treatment for HIV disease.